Individual
SHEERY MARIE JABAT VILLAGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, ACNPC-AG
Contact information
Practice address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
(775) 322-4956
Mailing address
5437 KIETZKE LN, RENO, NV 89511-1088
(775) 322-4550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
831987
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15148463
CAQH
NV
Enumeration date
12/17/2020
Last updated
04/05/2024
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